Individual provider Active NPI

Jaime Suarez, M.D. , D.M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Carolina, PR
National Provider Identifier
1528107398
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
E-3338 Issued in AR
Practice address
Los Colobos Shopping Center Cinema Building
Suite 208 65TH Infantery Ave. Bo. Canovanillas
Carolina, PR 00985
Phone
(787) 750-6120
Fax
(787) 750-6120
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 1950 PR
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 12966 PR
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X E-3338 AR Primary

Addresses

Primary practice location

Los Colobos Shopping Center Cinema Building
Suite 208 65TH Infantery Ave. Bo. Canovanillas
Carolina, PR 00985

Mailing address

P.O. Box 9717
Caguas, PR 00726
Phone (787) 750-6120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190404000827 PR Practitioner - Maxillofacial Surgery 3971879073 Reassigns benefits to 1 organization
Practice locations: Guayama, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1950PRMDPharmacist
E-3338ARMDOral & Maxillofacial Surgery (D.M.D.)
12966PRMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Oral & Maxillofacial Surgery CurrentSince Sep 3, 2018 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Sep 3, 2018 Accepting new patients
Departamento de Salud Oficial Past Accepting new patients

Locations

Primer Piso Hospital De Tr
San Juan, PR 00935

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1528107398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9717",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-750-6120",
            "fax_number": "787-750-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LOS COLOBOS SHOPPING CENTER CINEMA BUILDING",
            "address_2": "SUITE 208 65TH INFANTERY AVE. BO. CANOVANILLAS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-750-6120",
            "fax_number": "787-750-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "JAIME",
        "name_prefix": "Dr.",
        "credential": "M.D. , D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "1950",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PR",
            "license": "12966",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AR",
            "license": "E-3338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.